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Topnotch Surgery Pearls > Pearls 3 > Flashcards

Pearls 3 Flashcards

1
Q

Most posterior an lateral extent of thyroid gland

A

Tubercle of zuckerkandl

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2
Q

Mc site of extra adrenal pheochromocytoma

A

Tubercle of zuckerlandl

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3
Q

Confirmatory lab test for graves

A

TSH r/ TSAb/ TSIg

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4
Q

Preferred surgical tx for graves

A

Hartley dunhill (total lobectomy on one side and subtotal lobectomy on other side)

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5
Q

Mc inflammatory disorder of thyroid

A

Hashimoto

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6
Q

Askanazy cells

A

Hashimoto

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7
Q

Mgmt for reidels

A

Isthmusectomy

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8
Q

Mgt for persistent sinus fistula

A

IV antibiotics, drainage and fistulectomy

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9
Q

Mgmt for the subtype of follicular Ca associated with higher mortalty

A

Hurthle cell- total thyro+ routine central neck node removal

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10
Q

Localization study and management of a patient with a parathyroid adenoma

A

Tx labeled sestamibi, unilateral)focused) exploration vs bilateral exploration

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11
Q

Mc location of ectopic parathyroid gland

A

Paraesophageal

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12
Q

Localizing study and tx for patients with pheochromocytoma

A

MIBG, phenoxybenzamine 1-3 weeks before adrenalextony

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13
Q

Most common associated anomaly in paients with CoA

A

Bicuspid aortic valve

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14
Q

Mgmt for coa

A

Resection and EEA; balloon dilataion/stent

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15
Q

Only true surgical emergency among all congenital heart disease

A

TAPVC

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16
Q

(+) equalizaion of O2 sat in all chambers

A

TAPVC - connect PV to LA; ASD closure

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17
Q

Hypoplastic RV, pulmonary flow is dependent on PDA , mgmt?

A

Blalock tausig shunt(subclavian to pulmonary artery) glenn shunt (svc to pulmonary artery)

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18
Q

Most prefered site for av fistula

A

Wrist

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19
Q

Milroy disease characteristix

A

Bilateral lower extemity swellig

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20
Q

Pancoast syndrome

A

AdenoCA

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21
Q

Fx of distal radius with the fragment displaced dorsally

A

Colles

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22
Q

Smiths fx: is

A

Volar displacement

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23
Q

Fx of radial styloid

A

Hitchinson/ chaiffeur

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24
Q

Fx of ulna with dislocation of radial head

25
Q

Fx of distal radius with dislocation of DRUJ

26
Q

Mc dislocated jt

A

Glenohumeral

27
Q

Tear in glenous labrum

28
Q

Compression fx of humeral head

A

Hill sach’s lesion

29
Q

Most useful means of visualizing rotator cuff

30
Q

McMurray and Lachmann positive

A

ACL and meniscal tear

31
Q

Characterized by causal displacement of brainstem

A

Arnold chiari type 2

32
Q

Caudal cerebellar tonsil displacement

A

Arnold chiari typr 1

33
Q

Mgmt for the most common CNS neoplasm

A

Total resection + radiotherapy

34
Q

Mc pediatric brain tumor

A

Medulloblastoma

35
Q

Lad’s procedure used for

A

Prevention of midgut volvulus in malrotation

36
Q

Microcolon, egghell pattern

A

Meconium ileus

37
Q

Indication of surgery in patient with NEC

A

Pneumoperitomeum

38
Q

Mc type of TEF

39
Q

Dances sign is noted, what is the tx?

A

Intussusception : air then hydrostatic reduction, failure of reduction mandates surgery

40
Q

Anomaly most associated with gastroschisis

A

Intestinal atresia

41
Q

Pentalogy of cantrell

A

Heart anomalies, omphalocele, morgagnjan hernia, ectopia cordia, sternal cleft

42
Q

Small round blue cells(biopsy)

A

Neuroblastoma

43
Q

Tx for cystic hygroma

A

Surgical excision +sclerotherapy

44
Q

Study of choice for evaluating collecting system

45
Q

1st line tx for BPH

A

Alpha blockr

46
Q

Hypervolemia and dilutional hyponatremia, hypertension, bradycardia,N/V, mental status changes, seizures : MGMT?

A

TUR syndrome; diuretics

47
Q

Mc renal cell Ca

A

Clear cell

48
Q

Associated with squamous cell CA of the bladder

A

Schistosoma haematobium

49
Q

Dx of bladder Ca

A

Cystoscopy+ biopsy/cylogoy

50
Q

Annual prostate Ca screening recomended at what age?

A

50 with at least 10 yrs life expectancy

51
Q

Mgmt for prostate Ca

A

Local- radical retropubic prostatectomy

Mets- androgen abladive hormone tx(bilateral orchiectomies or GnRH agonist)

52
Q

(+) bell clappers deformtiy, mgmt?

A

Testicular torsion
Viable testis- orchiopexy on both sides
Non viable- orchiectomy on affected, orchiopexy on normal side

53
Q

Mgmt for an obstructed and infected urinary system

A

Emergency surgical drainage(percutaenous nephrostomy or cystoscopic placement of stent)

54
Q

Graft where a portion of the dermis is takrn along with the epidermis

A

Split thickness graft

55
Q

Graft events

A

(imbibition- 24 hrs, inosculation- 24-72 hrs, angiogenesis- after 72 hrs)

56
Q

Mgmt for intractable keloids

A

Radiation with excision

57
Q

Cleft palate routinely closed at what age? Ruke of 10?

A

12 mos; 10 wks, 10 lbs, 10 mg/dl Hgb

58
Q

Mutliple hemorhages, cotton wool spots, fat tortous blood vessels, few microaneurysm

A

Central retinal vein occlusion

59
Q

Injury to external branch of superior laryngeal nerve causes

A

Inability to hit high notes

Topnotch Surgery Pearls (12 decks)

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